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- <br /> Nation's PLEASE PAY FROM <br /> ' THIS INVOICE <br /> ¦ ti c_ pp• gox 8532, Coburg, OR 97408 <br /> f ~HV~~CE Small Yardage Concrete (541)686-3031 <br /> .ti . i3~~T~~' <br /> Date <br /> I Sold To _ ~ <br /> - <br /> ~ Address 'r;~`~ ` <br /> P.O./Job # _ . ~ ' <br /> Quantity Descri Tatai <br /> ~ t; . <br /> ~ _ _ _ <br /> ` Yards .S.1 ~ , c y ° 1 f <br /> Mieage Charge <br /> i <br /> j Stand By Time <br /> Overtime - ~ , ~ _ ` ' <br /> l Hot Water <br /> r Admixture: <br /> I i <br /> ~ Slump Air Content ~ <br /> r <br /> I. <br /> ARRNE LEAVE TIME ON TIME CHARGE A' <br /> ~ ~ <br /> JOB JOB JOB MINUTES TOTAL • ~ - <br /> C <br /> I'i ' r:, ~ ~ ~ 1 ~ 1 pETENTKkf OF TRUCKS AT THE BUILDING SITE <br /> No'claims for delays`encountered in delivery will be allowed as alt deliveries are made to the best of our P'"'itY and dispatch. <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> 1. the undersigned, wtll assume all responsibility for any damage where delivery is made ins~~ <br /> ~ WARNING ^ ~,Q ~/®q <br /> Use of this product without protective clothing couhl cause bodily injury. Every P ~1 ~f~ 1r ~t'M~ <br /> TERMS OF PAY~(j/`~ ~~J <br /> The balance is due and payable on the 10th of the lollow' " . v%}!" ~ c^. moNhly (ANNUAL <br /> PERCENTAGE RATE OF 24%) will ba added to Me unpai of ~ ue. ~ _ ~ ~`O `re PaY~t of ~ <br /> C charges listed on this Invoice when due, plus any applicattFe 1 n'~ o Pay reasonade <br /> f[ attorney's tees and court costs incurred by Nation's Mini-h~ix Inc. incl r a ~yA costs incurred by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in cdlection of the ba nce dif1 court. I agree that the <br /> f kabikly is being personally assumed by me unless otherwise indicated bat t stitute a release of liability. <br /> i ey my sgnature below, acknowletlgmenl and agmement of the above is h <br /> ( LIENS <br /> Nation's Mini- ix 1 Concrete Service hereby gives rwlice of its reservation of t~ ' t to asseA any and all kens against purchaser and <br /> third paAies r all applicable federal, state or local laws in the event the prices stated in this agreement are not paid when due. <br /> i t re roved a completed copy of this Invoice. <br /> ACCEPTANCE <br /> - Nation's Mmi-Mix, Inc. agrees to provide aN services and materials indicated on this Invoice. J ^ ~ - - ~ , . <br /> _J- <br /> ~ i v~ i~ t?C <br /> By <br /> Nation's Mini-Mix, Inc. ; <br /> 1 am a authorized agent of ~ <br /> ~ l <br /> <br /> j ~ Signed Dated _ . <br /> <br />